Organization Active NPI

Eckel Eye Care OD PLLC

  • Optometrist
  • Mint Hill, NC
National Provider Identifier
1578281416
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ECKEL EYE CARE OD PLLC
Practice address
7148 Lawyers Rd
Mint Hill, NC 28227-3906
Phone
(704) 535-9252
Fax
(704) 535-6634
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Eckel, ODNPI 1437585163
Title
Owner
Phone
(704) 535-9252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7148 Lawyers Rd
Mint Hill, NC 28227-3906

Mailing address

7148 Lawyers Rd
Mint Hill, NC 28227-3906
Phone (704) 535-9252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914002525 NC Part B Supplier - Clinic/Group Practice 7416332291 Receives reassigned benefits from 1 practitioner
Practice locations: Mint Hill, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1578281416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 LAWYERS RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-535-9252",
            "fax_number": "704-535-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 LAWYERS RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-535-9252",
            "fax_number": "704-535-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKEL EYE CARE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ECKEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-535-9252",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.